The Best of Both Worlds

The minimal invasive surgery in Foot and Ankle is here to stay its growth strength undeniable. During the 90s American continent, forefoot was dominated by North Podiatrist, during that time now called “first generation MIS” for Hallux Valgus wasn´t well accepted orthopedic foot ankle surgeons. It a controversial topic pointed out as “blind with no fixation technique” could not be predicted on outcome. This supported because of lack scientific studies regarding this MIS bunion´s correction fact there were some publications oral presentations putting it down detrimental outcomes. In 2000s 2010s world started look more seriously into ideology do formal work resulted ultimate percutaneous hardware backed up several papers clinical radiological Proof threefold rise arouse from 10,127 med nineties 30,362 2015. At same scenario, metatarsal osteotomies done despite Metatarsophalangeal dislocation, found contraindication new paradigm must an open fashion reduce when doing bunion, giving place hybrid surgery. Also Minimal Invasive Queilectomy Rigidus yielded second procedures than favoring latter technique. Open has been studied many years reporting good excellent outcomes forefoot, midfoot, hindfoot ankle. Wound Complications faster recovery are main factors pulled indications like Achilles Rupture repair, arthroscopic fusion, etc. But techniques such Progressive collapsing deformity reconstruction, Cavus varus tibial osteotomy deformities, tendon transfer neurological pathologies, triple, or double arthrodesis, etc., mostly “traditional” power addressing fixing problem isolated not. Nevertheless, calcaneal osteotomy, tendoscopy, arthroereisis, lateral ligament reconstruction complements those surgeries. Patient demands cosmetic scars very early return moderate physical activity sometimes pushes surgeon choose different procedure he she comfortable with, jeopardize results elevates complications possibility. decide learning area have advantages patient benefit. should ready consider both ways thinking being capable performing either one (hybrid surgery) accordingly each one´s experience expertise able give best resolution mild, severe cases patients least risk complications. our responsibility evolve…